Given name
Family name
Email Address
*
Is the subscription for an individual or an organisation?
*
Select subscription type
Individual
Organisation
Organisation name
Which South Australian region is the subscription linked to?
Select region
All regions
Adelaide Metropolitan
Mount Lofty Ranges
Yorke Peninsula
Kangaroo Island
Upper South East
Lower South East
Murraylands
Riverland
Mid North
Flinders
West Coast
Eastern Eyre
Lower Eyre
North West Pastoral
North East Pastoral
You understand that
the Department of Human Services will use information collected from this form for the purpose of sending you email notifications for all Code Red and Code Blue activations. Any information submitted will only be retained for such time as necessary to carry out the purposes for which the information is collected or as required by law. Email addresses and any other contact details you provide will not be provided to a third party or added to a mailing list without your consent. You can unsubscribe from these alerts at any time.
*
Please wait, files are uploading..
Submit